Objectives Self-reported anal intercourse by female sex workers FSWs documented in recent studies from India range between However, comparable data on anal intercourse and condom use from male clients of FSWs is lacking. After obtaining informed consent, respondents were interviewed and tested for HIV and sexually transmitted infections syphilis, gonorrhoea and chlamydia.
Results Overall, Conclusions The results suggest that sex workers and their clients commonly practice anal intercourse, but a relatively high proportion of clients do not consistently use condoms, leading to a greater risk of acquiring HIV and its further transmission to other male and female sexual partners. Given the multidirectional risk, safer sex communication on heterosexual anal intercourse must be incorporated into HIV prevention programmes. You will be able to get a quick price and instant permission to reuse the content in many different ways.
Using data from a large scale multisite bio-behavioural survey, this paper discusses the prevalence and practice of unprotected anal intercourse among clients of sex workers in high HIV prevalent southern states of India. Anal intercourse and condom use are both self-reported measures and may therefore be influenced by the social desirability bias, resulting in under-reporting or over-reporting of the phenomena.
There is paucity of behavioral research on clients self-reported anal sex and condom use and this paper examines this relatively understudied risk behaviour. Heterosexual anal intercourse HAI is an understudied risk behaviour among clients of female sex workers CFSWs , a vulnerable population that has been identified as a critical bridge group in HIV transmission. Given the high vulnerabilities associated with HAI in commercial and non-commercial sex settings, a few research studies have assessed anal intercourse prevalence and associated factors among FSWs and the general population.
It is also linked to associated factors such as economic hardship, debt status and lack of alternate source of income. Data were derived from a cross-sectional bio-behavioural survey called integrated behavioural and biological assessment IBBA that was conducted among clients of FSWs as part of the evaluation of a large-scale HIV prevention programme in 12 districts across the three Indian states of Andhra Pradesh, Maharashtra and Tamil Nadu during — The survey used a two-stage cluster sampling design with time location clusters as primary sampling units.
